| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
2,907 |
2,619 |
$91K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,055 |
1,831 |
$46K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,435 |
1,263 |
$41K |
| A7030 |
Full face mask used with positive airway pressure device, each |
308 |
287 |
$18K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
679 |
598 |
$13K |
| E0570 |
Nebulizer, with compressor |
860 |
800 |
$6K |
| A7035 |
Headgear used with positive airway pressure device |
364 |
324 |
$5K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,211 |
1,099 |
$5K |
| A7031 |
Face mask interface, replacement for full face mask, each |
157 |
148 |
$4K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
346 |
327 |
$3K |
| A7037 |
Tubing used with positive airway pressure device |
25 |
25 |
$837.42 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
108 |
101 |
$749.60 |
| E1392 |
Portable oxygen concentrator, rental |
14 |
12 |
$62.82 |